Evidence map›Paper›PMID 35758895›Full record

Trial reportCancer discovery2022

A Targetable Myeloid Inflammatory State Governs Disease Recurrence in Clear-Cell Renal Cell Carcinoma.

Phillip M Rappold, Lynda Vuong, Josef Leibold, Nicholas H Chakiryan, Michael Curry, Fengshen Kuo, Erich Sabio, Hui Jiang, Briana G Nixon, Ming Liu and 26 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer discovery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
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  11. Toward a CRISPR-based mouse model ofProceedings of the National Academy of Sciences of the United States of America · 2024
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  19. XL-ing at Induction of Apoptosis in Kidney Cancer through Inhibition of BCL-XL.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

36 authors at 6 institutions in 2 countries.

Phillip M Rappold *Department of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-2977-1023
Lynda Vuong *Department of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-3277-0064
Josef LeiboldCancer Biology and Genetics Program, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0003-2336-1987
Nicholas H ChakiryanDepartment of Genitourinary Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0001-9263-8957
Michael CurryDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-0261-4044
Fengshen KuoDepartment of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0003-1797-2896
Erich SabioHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0001-9310-8042
Hui JiangDepartment of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0003-1869-1607
Briana G NixonImmunology Program, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0001-7334-9404
Ming LiuImmunology Program, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0001-7799-0899
Anders E BerglundDepartment of Biostatistics and Bioinformatics, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0002-0393-3530
Andrew W SilagyDepartment of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-4990-8445
Eduardo A MascarenoDepartment of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-2785-8416
Mahdi GolkaramIllumina, Inc., San Diego, California.ORCID 0000-0002-8981-0047
Mahtab MarkerNovartis Oncology, New Hanover, New Jersey.ORCID 0000-0002-3109-333X
Albert ReisingNovartis Oncology, New Hanover, New Jersey.ORCID 0000-0001-7629-551X
Alexander SavchenkoNovartis Oncology, New Hanover, New Jersey.ORCID 0000-0002-6036-0775
John MillhollandNovartis Oncology, New Hanover, New Jersey.ORCID 0000-0003-2129-3298
Ying-Bei ChenDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0001-5207-3648
Paul RussoDepartment of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0001-7487-6783
Jonathan ColemanDepartment of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-6428-7835
Ed ReznikDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-6511-5947
Brandon J ManleyDepartment of Genitourinary Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0001-8545-7816
Irina OstrovnayaDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0003-1783-0070
Vladimir MakarovCenter for Immunotherapy and Precision Immuno-Oncology, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0002-4104-5876
Renzo G DiNataleDepartment of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-7867-2881
Kyle A BlumDepartment of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-2484-385X
Xiaoxiao MaCenter for Immunotherapy and Precision Immuno-Oncology, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0001-8661-5660
Diego ChowellDepartment of Oncological Sciences, The Precision Immunology Institute, The Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, New York.ORCID 0000-0002-1355-5545
Ming O LiImmunology Program, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-1383-0535
David B SolitHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-6614-802X
Scott W LoweCancer Biology and Genetics Program, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-5284-9650
Timothy A ChanCenter for Immunotherapy and Precision Immuno-Oncology, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0002-9265-0283
Robert J MotzerDepartment of Medicine, Genitourinary Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0001-6925-2327
Martin H VossDepartment of Medicine, Genitourinary Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0003-0551-5807
A Ari HakimiDepartment of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-0930-8824
Memorial Sloan Kettering Cancer Center · USMechanical Solutions (United States) · USCleveland Clinic · USMoffitt Cancer Center · USIllumina (United States) · USTisch Hospital · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI Christine O'Connell · 1998 to 2026
$93.5M
Macrophages as modulators of T cell function and therapeutic response in clear cell renal cell carcinomaR01CA258886 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI HAKIMI, ABRAHAM ARI · 2021 to 2025
$2.4M
Rapid and flexible precision oncology mouse models of epithelial malignancies epithelial malignanciesR01CA233944 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI LOWE, SCOTT W. · 2020 to 2024
$2.4M
Horizontal Bore 9.4T Magnet for MRIS10OD023669 · OD · SLOAN-KETTERING INST CAN RESEARCH · PI KOUTCHER, JASON ARTHUR · 2017 to 2017
$600k
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA076292NCI NIH HHS R01 CA233944NCI NIH HHS R01 CA258886NIH HHS S10 OD023669
6 · The paper itself

Abstract

It is poorly understood how the tumor immune microenvironment influences disease recurrence in localized clear-cell renal cell carcinoma (ccRCC). Here we performed whole-transcriptomic profiling of 236 tumors from patients assigned to the placebo-only arm of a randomized, adjuvant clinical trial for high-risk localized ccRCC. Unbiased pathway analysis identified myeloid-derived IL6 as a key mediator. Furthermore, a novel myeloid gene signature strongly correlated with disease recurrence and overall survival on uni- and multivariate analyses and is linked to TP53 inactivation across multiple data sets. Strikingly, effector T-cell gene signatures, infiltration patterns, and exhaustion markers were not associated with disease recurrence. Targeting immunosuppressive myeloid inflammation with an adenosine A2A receptor antagonist in a novel, immunocompetent, Tp53-inactivated mouse model significantly reduced metastatic development. Our findings suggest that myeloid inflammation promotes disease recurrence in ccRCC and is targetable as well as provide a potential biomarker-based framework for the design of future immuno-oncology trials in ccRCC. SIGNIFICANCE: Improved understanding of factors that influence metastatic development in localized ccRCC is greatly needed to aid accurate prediction of disease recurrence, clinical decision-making, and future adjuvant clinical trial design. Our analysis implicates intratumoral myeloid inflammation as a key driver of metastasis in patients and a novel immunocompetent mouse model. This article is highlighted in the In This Issue feature, p. 2221.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsAdenosine A2 Receptor AntagonistsAnimalsBiomarkers, TumorHumansInflammationInterleukin-6MiceNeoplasm Recurrence, LocalPrognosisTumor MicroenvironmentAdenosine A2 Receptor AntagonistsBiomarkers, TumorInterleukin-6

Identifiers

PMID35758895
PMCPMC9720541
OpenAlexW4283577197

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.